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Argininosuccinic aciduria: Metabolic studies and effects of treatment with keto-analogues of essential amino acids

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Abstract

A 22 years old female with the late-onset type of argininosuccinic aciduria was successfully treated for 5 months with a mixture of essential amino acids and their keto-analogues. There was a marked change in plasma ammonia, plasma amino acids and argininosuccinic acid excretion. A long term anabolic response was reflected by an increase of total serum proteins and serum albumin by about 1 g/dl during the first 5 months of treatment. There was a striking improvement in the patient's seizure disorder following institution of the keto-analogue therapy.

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References

  1. Adachi, T., Tanimura, A., Asahina, M.: A colorimetric determination of orotic acid. J. Vitaminol. 9, 217 (1963)

    Google Scholar 

  2. Batshaw, M., Brusilow, S., Walser, M.: Treatment of carbamyl phosphate synthetase deficiency with keto analogues of essential amino acids. New Engl. J. Med. 292, 1085 (1975)

    Google Scholar 

  3. Böhles, H., Harms, D., Heid, H., Sitzmann, F. C.: Protein load in argininosuccinic aciduria: thoughts on its biochemical implications. Z. Ernährungswiss. (in press)

  4. Bohuon, C.: In: Clinical Biochemistry, Principles and Methods. Curtius, H. Ch., Roth, M. (eds.) p. 1156. Berlin, New York: Walter de Gruyter 1974

    Google Scholar 

  5. Da Fonseca-Wollheim, F.: Bedeutung von Wasserstoffionenkonzentration und ADP-Zusatz bei der Ammoniakbestimmung mit Glutamatdehydrogenase. Z. klin. Chem. klin. Biochem. 11, 421 (1973)

    Google Scholar 

  6. Hambraeus, L., Hardell, L. I., Westphal, O., Lorentsson, R., Hjorth, G.: Argininosuccinic aciduria. Acta Paediatr. Scand. 63, 525 (1974)

    Google Scholar 

  7. McReynolds, J., Mantagos, S., Walser, M., Brusilow, S., Rosenberg, L.: Early treatment of complete ornithine transcarbamylase deficiency with keto analogues of essential amino acids. Ped. Res. 11, 459 (1977)

    Google Scholar 

  8. Okada, M., Suzuki, K.: Amino acid metabolism in rats fed a high protein diet without pyridoxine. J. Nutr. 104, 287 (1974)

    Google Scholar 

  9. Reddy, S. K., Reynolds, M. S., Price, J. M.: The determination of 4-pyridoxic acid in human urine. J. Biol. Chem. 233, 691 (1958)

    Google Scholar 

  10. Sapir, D. G., Owen, O. E., Pozefsky, T., Walser, M.: Nitrogen sparing induced by a mixture of essential amino acids given chiefly as their keto-analogues during prolonged starvation in obese subjects. J. Clin. Invest. 54, 974 (1974)

    Google Scholar 

  11. Snyderman, S. E., Sansaricq, C., Phansalkar, S. V., Schacht, R. G., Norton, P. M.: The therapy of hyperammonemia due to ornithine transcarbamylase deficiency in a male neonate. Pediatrics 56, 65 (1975)

    Google Scholar 

  12. Thoene, J., Batshaw, M., Spector, E., Kulovich, S., Brusilow, S., Walser, M., Nyhan, W.: Neonatal citrullinemia: Treatment with ketoanalogues of essential amino acids. J. Pediat. 90, 218 (1977)

    Google Scholar 

  13. Westall, R. G.: Argininosuccinic aciduria: Identification and reactions of the abnormal metabolite in a newly described form of mental disease, with some preliminary metabolic studies. Biochem. J. 77, 135 (1960)

    Google Scholar 

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Böhles, H., Heid, H., Harms, D. et al. Argininosuccinic aciduria: Metabolic studies and effects of treatment with keto-analogues of essential amino acids. Eur J Pediatr 128, 225–233 (1978). https://doi.org/10.1007/BF00445607

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